MDT#1-SEEG Case Discussions:Pediatric Mesial‑Frontal & Discordant Temporal Cases SEEG Week

This recording is the first Multidisciplinary Team (MDT #1) meeting from the Indo‑Egyptian SEEG Week (November 2025). This session brings together international and national faculty to discuss two complex, teaching cases and to demonstrate multidisciplinary reasoning used to decide on SEEG implantation and surgical strategy.

Educational objectives
Show how Phase‑1 (anatomo‑electro‑clinical) data are combined to form a surgical hypothesis
Demonstrate when and how SEEG is indicated for difficult paediatric and adult cases
Illustrate MDT decision‑making: imaging, video‑EEG review, SEEG planning and safety considerations

Case summaries

Case A — (Pediatric, 5 y, F — suspected mesial frontal FCD)
Presentation: early‑onset focal seizures with prolonged behavioural arrest and prominent bilateral eyelid blinking; limited scalp EEG correlates.
Imaging: 3T MRI is negative, MELD processing showed a subtle right mesial frontal lesion; PET showed concordant hypometabolism.
Clinical question: Deep mesial frontal/medial SMA lesion suspected — is SEEG indicated to confirm onset and to map motor structures before resection?
Educational focus: paediatric assessment, SEEG sampling strategy for mesial frontal targets, stimulation mapping and peri‑operative neuro‑critical care.

Case B — (Adult, 23 y, F — discordant data)
Presentation: focal impaired‑awareness seizures with déjà vu aura, automatisms and right hemifacial clonic activity; verbal memory impairment noted.
EEG / Imaging: scalp ictal EEG lateralised to the left temporal lobe; FDG‑PET shows left temporal hypometabolism; high‑resolution MRI revealed right temporal and right occipital lesions (discordant).
Clinical question: Is the true epileptogenic zone left temporal (scalp EEG / PET) or related to the right lesions? Is SEEG required to resolve lateralisation and plan a safe resection?
Educational focus: dealing with discordant Phase‑1 data, designing SEEG trajectories to sample both suspected left temporal onset and right lesion sites, functional mapping to preserve language/memory.

Faculty & format
International faculty from Rela/Gleneagles (India) and Egyptian multi‑university team led the discussion.
Topics covered: video‑EEG review, imaging co‑registration, trajectory planning, electrode selection, stimulation mapping and peri‑operative ICU considerations.

Resources & playlist
This video is part of the larger educational playlist:
MDT #1–3, Neuro‑critical Care Workshop, SEEG Masterclass lectures & practical sessions
Watch the full playlist here:

Contact & follow‑up
For educational enquiries, fellowship information or case referrals, contact:
Dr Ahmed Elkeiey — Programme Director (ECSE)
WhatsApp: +20 102 000 1537


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